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Vermont rates for HCPCS 77317

Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.59 / $255.59 / $257.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,363.75 / $1,363.75 / $1,363.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.53 / $431.98 / $1,363.75
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.53 / $431.98 / $1,363.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.77 / $375.48 / $1,450.67